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Table 6 Formatting of GHWs

From: The effectiveness of graphic health warnings on tobacco products: a systematic review on perceived harm and quit intentions

No.

Author(s), publication year

Group

Graphic: Size (front) %

Graphic: Size (back) %

Graphic: Location

Graphic: Image concept1

Graphic: congruency2

Graphic: Colour

Text: Size %

Text: Location

Text: Source attribution

Text only GHW

Quitline

1

Anshari et al., 2018

Australia

75

90

Front & back

Negative

Congruent

Colour

25

Front & back

No source

No

Yes

Canada

75

75

Front, back & sides

Mixed

Congruent

Colour

37

Front, back & sides

Health Canada

No

Yes

Mexico

30

100

Front & back

Negative

Congruent

Colour

100

Back

No source

No

Yes

2

Borland et al., 2009

Australia (Wave2)

NA

NA

NA

NA

NA

NA

NA

NA

NA

Yes

No

Australia (Wave5)

30

90

Front & back

Negative

Congruent

Colour

15

Front & back

Health authority warning

No

Yes

UK

NA

NA

NA

NA

NA

NA

NA

NA

NA

Yes

No

Canada

50

50

Front & back

Negative

Congruent

Colour

20

Front & back

Health Canada

No

No

3

Brewer et al., 2016

Pictorial (Pre & Post)

50

50

Front & back

Negative

Congruent

Colour

12.5

Front & back

US HHS

No

No

4

Brewer et al., 2019

Complete sample

50

50

Front & back

Negative

Congruent

Colour

15

Front & back

US HHS

No

No

5

Cho et al., 2018

Australia

75

90

Front & back

Negative

Congruent

Colour

25

Front & back

No source

No

Yes

Canada

75

75

Front, back & package inserts

Mixed

Congruent

Colour

37

Front, back & package inserts

Health Canada

No

Yes

Mexico

30

100

Front & back

Negative

Congruent

Colour

100

Back

No source

No

Yes

6

Durkin et al., 2015

Pre PP

30

90

Front & back

Negative

Congruent

Colour

15

Front & back

Health authority warning

No

Yes

Late transition & Post PP

75

90

Front & back

Negative

Congruent

Colour

25

Front & back

No source

No

Yes

7

Elton-Marshall et al., 2015

Malaysia (Pre)

NA

NA

NA

NA

NA

NA

NA

NA

NA

Yes

No

Malaysia (Post)

40

60

Front & back

Negative

NA

Colour

10

Front

No source

No

Yes

8

Fathelrahman et al., 2010

Complete sample

60

NA

Front

Negative

Congruent

Colour

40

Front

No source

No

Yes

9

Fathelrahman et al., 2013

Pre GHW

NA

NA

NA

NA

NA

NA

NA

NA

NA

Yes

No

Post GHW

50

50

Front & back

Negative

Congruent

Colour

10

Front

No source

No

No

10

Glock & Kneer, 2009

Complete sample

30

30

No location on pack (screen)

Negative

Congruent

Colour

NA

NA

NA

No

No

11

Gravely et al., 2016a

Wave 2

50

50

Front & back

Symbolic

NA

Colour

30

Front

No source

No

No

Wave 3

80

80

Front & back

Negative

Congruent

Colour

30

Front & back

No source

No

No

12

Gravely et al., 2016b

Scorpion GHW

40

NA

Front

Symbolic

Incongruent

NA

NA

Front

NA

No

NA

New pictorial GHW

40

NA

Front

Negative

Congruent

Colour

NA

Front

NA

No

NA

13

Green et al., 2014

Pre pictorial GHW (Wave1)

NA

NA

NA

NA

NA

NA

30

NA

NA

Yes

NA

Post 12 months (Wave2)

60

70

Front & back

Mixed

Congruent

Colour

65 (side)

Front & back

No source

No

No

14

Green et al., 2019

Complete sample

75

90

Front, back & package inserts

Mixed

Congruent

Colour

37

Front, back & package inserts

Health Canada

No

Yes

15

Hall et al., 2018

Complete sample

50

50

Front & back

Negative

Congruent

Colour

15

Front & back

US HHS

No

YES

16

Hitchman et al., 2014

Canada

50

50

Front & back

Symbolic

Congruent

Colour

25

Front & back

Health Canada

No

No

17

Kasza et al., 2017

Canada (Wave1)

50

50

Front & back

Negative

Congruent

Colour

25

Front & back

Health Canada

No

No

Canada (Wave9)

75

75

Front, back & package inserts

Mixed

Congruent

Colour

37

Front, back & package inserts

Health Canada

No

Yes

Australia (Wave1)

NA

NA

NA

NA

NA

NA

NA

NA

NA

Yes

No

Australia (Wave9)

75

90

Front & back

Negative

Congruent

Colour

25

Front & back

No source

No

Yes

18

Kennedy et al., 2012

Australia (Waves 1–7)

30

90

Front & back

Negative

Congruent

Colour

15

Front & back

Health authority warning

No

Yes

19

Li et al., 2015

Australia

30

90

Front & back

Negative

Congruent

Colour

15

Front & back

Health authority warning

No

Yes

20

Li et al., 2016

Thailand (Wave3)

50

50

Front & back

Negative

Congruent

Black & white

10

Front & back

No source

No

No

Thailand (Wave5)

55

55

Front & back

Negative

Congruent

black & white

10

Front & back

No source

No

Yes

Malaysia (Wave2)

NA

NA

NA

NA

NA

NA

70

Sides

NA

Yes

No

Malaysia (Wave4 and6)

40

60

Front & back

Negative

Congruent

Colour

10

Front & back

No source

No

Yes

21

Mannocci et al., 2019

Italy (Post)

65

65

Front & back

Negative

Congruent

Colour

50

Sides

No source

No

No

22

Mays et al., 2014

Intervention

50

50

Front & back

Negative

NA

Colour

NA

Front & back

US HHS

No

Yes

23

McQueen et al., 2015

Graphic condition

50

NA

Front

Negative

Congruent

Colour

NA

Front

US HHS

No

Yes

24

Nagelhout et al., 2016

UK (Pre)

NA

NA

NA

NA

NA

NA

30 (front), 40 (back)

3

NA

Yes

NA

UK (Post)

43

53

Front & back

Negative

Congruent

Colour

10

Front & back

No source

No

No (only 1/14 has Quitline)

FR (Pre)

NA

NA

NA

NA

NA

NA

30 (front), 40 (back)

3

NA

Yes

NA

FR (Post)

0

40

Front & back

Negative

Congruent

Colour

20

Front

No source

No

Yes

25

Ngan et al., 2016

Wave 1 & 2

50

50

Front & back

Negative

Congruent

Colour

12

Front & back

No source

No

No

26

Nicholson et al., 2017

Pre PP

30

90

Front & back

Negative

Congruent

Colour

15

Front & back

Health authority warning

No

Yes

Post PP

75

90

Front & back

Negative

Congruent

Colour

25

Front & back

No source

No

Yes

27

Osman et al., 2016

Complete sample

30

0

Front

Negative

Congruent

Colour

100

Back

No source

No

Yes

28

Parada et al., 2017

Pictorial GHW (Waves 1–4)

50

50

Front & back

Negative

Congruent

Colour

NA

Front & back

No source

No

No

29

Partos et al., 2013

AU

30

90

Front & back

Negative

Congruent

Colour

15

Front & back

Health authority warning

No

Yes

CA

50

50

Front & back

Negative

Congruent

Colour

25

Front & back

Health Canada

No

No

UK

30

40

Front & back

Negative

Congruent

Colour

10

Front

No source

No

No

30

Popova & Ling, 2017

 

NA

NA

No location on pack (screen)

Negative

Congruent

Colour

NA

No location on pack (screen)

No source

No

No

31

Schneider et al., 2012

Pictorial GHW

45

0

Front

Negative

Congruent

Colour

20

Front

No source

No

No

32

Swayampakala et al., 2014

AU (Pre)

30

90

Front & back

Negative

Congruent

Colour

15

Front & back

Health authority warning

No

Yes

AU (Post)

90

90

Front & back

Negative

Congruent

Colour

30

Front & back

No source

No

Yes

CA (Pre)

75

75

Front & back

Mixed

Congruent

Colour

25

Front & back

Health Canada

No

Yes

CA (Post)

75

75

Front, back & package inserts

Negative

Congruent

Colour

25

Front, back & package inserts

Health Canada

No

Yes

MX (Pre-Post)

30

100

Front & back

Negative

Congruent

Colour

100

Back

No source

No

Yes

33

White et al., 2008

AU 2006 GHW

30

90

Front & back

Negative

Congruent

Colour

15

Front & back

Health authority warning

No

Yes

34

Yong et al., 2013

TH (Wave1)

NA

NA

NA

NA

NA

NA

33

Front & back

NA

Yes

NA

TH (Wave 3)

50

50

Front & back

Negative

Congruent

black & white

12

Front & back

No source

No

No

35

Yong et al., 2016

Pre PP

30

90

Front & back

Negative

Congruent

Colour

15

Front & back

Health authority warning

No

Yes

Post PP

75

90

Front & back

Negative

Congruent

Colour

25

Front & back

No source

No

Yes

  1. 1Positive image concept refers to graphics portraying the benefits of quitting smoking while negative images show the harmful effects of smoking.
  2. 2Congruency refers to GHW formats where the message is presented in images and text communicating a consistent, aligned message